Spontaneous Extensor Tendon Rupture in the Rheumatoid Wrist

Abstract

Risk factors of spontaneous extensor tendon rupture included disease duration longer than 8 years, persistent tenosynovitis longer than 1 year, and wrist Larsen grade greater than 4. Dislocation of the distal end of the ulna, carpal collapse, and the scallop sign on X-ray indicated a higher probability of extensor tendon rupture. Rheumatologists should consult with hand surgeons promptly to preserve hand function before tendon rupture. Prophylactic extended tenosynovectomy surgery to prevent more severe damage of extensor tendon should be recommended in patients who had the above risk factors.

Rheumatoid Hand Surgery in the Era of Biologic Therapy: A Rheumatologist-oriented Overview

“…The best treatment for tendon rupture may be prophylactic management such as extended tenosynovectomy to prevent further damage to the tendons. A number of reports have identified several risk factors associated with higher rates of tendon rupture, which are dorsal dislocation of the distal ulna, carpal collapse, presence of the scallop sign (an erosive change in the distal radioulnar joint) on X-rays, and swelling of the extensor compartments [ 18 - 20 ].…”

Ruptura espontánea de tendones extensores de la mano en paciente con diagnóstico de artritis reumatoide

“…Se caracteriza por inflamación sistémica y progresiva. 1 La ruptura espontánea de tendones extensores es una complicación RESUMEN La artritis reumatoide es una enfermedad autoinmune crónica de etiología desconocida. Fue descrita por primera vez en 1956 por Straub y Wilson y se caracteriza por la inflamación sistémica y progresiva.…”